Advance Attendance Registration Form

Annual Fall Educational Meeting
October 20-21, 2017
Bestwestern Ramkota Hotel
800 S. Third Street
Bismarck, ND 58504

For Reservations call 701-258-7700
Be sure to indicate you are with NDANA when making your reservation.

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Last
AANA#   Status 
Facility
Address

City   State Zip
Contact Phone Example: 701-000-0000
* Email

Planning on attending Saturday lunch?
Please choose yes or no.

Please choose the appropriate Registration Fee using the drop down menu.
 

Please note that payment must be made by cash, check, money order or Paypal.
Indicate Payment Type:

    
Please click the Submit Button Only Once

Mail Payment and Registration Form:
North Dakota Association of Nurse Anesthetists
P.O. Box 1755
Bismarck, ND 58502-1755
701-221-7797